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General NPI Number Information
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NPI Number | 1548643828
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Entity Type | Individual
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Provider Name | SHARON T CHIEN LAC. DAOM
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Gender | Female
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Dates
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Enumeration Date | 07/03/2015
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 800 MAGNOLIA AVE STE 114
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City | CORONA
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State | CA
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Zip | 92879-3123
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Country | US
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Telephone | 951-496-7699
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Fax | 951-602-7770
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Provider Business Mailing Address
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Address Line | 14423 ROCK CANYON CT
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City | EASTVALE
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State | CA
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Zip | 92880-3704
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Country | US
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Telephone | 951-643-7925
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC16029
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License Number State | CA
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